# SACRED STAR LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831800408
- **Authorized official:** STAR IULI JR. (DIRECTOR)
- **Authorized official phone:** (619) 324-3344

## Contact information

- **Practice address:** 1796 W RAY LN, APACHE JUNCTION, AZ 85120-6818
- **Practice address phone:** (619) 324-3344
- **Mailing address:** 5810 E 14TH AVE, APACHE JUNCTION, AZ 85119-9475
- **Mailing address phone:** (619) 324-3344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 01/09/2025